title: Double-v side-branch stenting followed by main trunk stenting in type-a3 trifurcation coronary artery disease using a dual-catheter technique - the triple-tine fork technique.
abstract: We report on a 55-year-old male patient who presented with acute non-ST elevation inferolateral myocardial infarction. He underwent conventional coronary angiography 3 days after admission that revealed normal right coronary artery, 30% plaque in midleft anterior descending artery as well as total proximal left circumflex artery occlusion, which proved to be a type-A3 trifurcation lesion after predilatation. The trifurcation was approached with triple wiring and tackled with a novel 4-stent strategy that predicates at first the distal two side branches and the distal main branch (MB) stenting using dual 6 and 7 Fr guiding catheters that were introduced via a bifemoral approach, followed by main trunk (proximal main vessel) stenting with final trissing-balloon inflation. Angiography at the end of the procedure revealed a triple-tine fork-like shape. There was no postprocedural pain or CPK leakage. One year later, the patient was free from any cardiac complaints.
authors.affiliation: Senior Consultant Invasive Cardiologist, PO Box 2251, Amman - Jordan 11821. Abdallah.omeish@yahoo.com.
authors.forename: Abdallah
authors.initials: A
authors.lastname: Omeish
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation*; D057785:Catheters; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents